A Case of Eosinophilic Granulomatosis with Polyangiitis Presenting with Subarachnoid Hemorrhage and Mononeuritis Multiplex.
10.4078/jrd.2015.22.3.190
- Author:
Se Hwan OH
1
;
Won PARK
;
Seong Ryul KWON
;
Mie Jin LIM
;
Ko Woon JOO
;
Oh Hyun LEE
;
Ha Young LEE
;
Se Yang OH
;
Kyong Hee JUNG
Author Information
1. Division of Rheumatology, Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea. khjung@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Churg-Strauss syndrome;
Subarachnoid hemorrhage;
Mononeuropathies
- MeSH:
Antibodies, Antineutrophil Cytoplasmic;
Asthma;
Central Nervous System;
Churg-Strauss Syndrome;
Cyclophosphamide;
Eosinophils*;
Female;
Humans;
Immunoglobulins;
Middle Aged;
Mononeuropathies*;
Mortality;
Neck Pain;
Peripheral Nervous System Diseases;
Sinusitis;
Subarachnoid Hemorrhage*;
Vasculitis
- From:Journal of Rheumatic Diseases
2015;22(3):190-194
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Eosinophilic granulomatosis with polyangiitis (EGPA), previously called Churg-Strauss syndrome, is an anti-neutrophil cytoplasmic antibody associated vasculitis, accompanied by asthma, hypereosinophilia, nonfixed pulmonary infiltrates, and sinusitis. Peripheral neuropathy is common in patients with EGPA; however, a few cases of EGPA with central nervous system (CNS) involvement have been reported. A 45-year-old female referred for right side weakness and posterior neck pain was diagnosed as EGPA with subarachnoid hemorrhage and mononeuritis multiplex. She was effectively treated with a high dose glucocorticoid, cyclophosphamide, and intravenous immunoglobulin. EGPA with CNS involvement is uncommon and causes significant morbidity and mortality. Therefore more rapid and accurate diagnostic evaluation may be required. EGPA should be considered in patients with neurological symptoms and hypereosinophilia.
